red tape roller coaster....
what a mess.... red tape... red tape..... red tape....
first the insurance asks for more info then 4 days later sends me a letter stateing my pending claim was diened due to lack of info.....!!!!!!!! so i called the insurance and was told that the dr. will submit the additional info and it will be treated as an appeal.. i was so happy to hear that we didn't have to totally start over i didn't think to ask how many times can i appeal? so i'll be on the phone tomorrow.
part of the problem is i have great doctors and their staff members are very sweet and kind but when it comes down to it its like pulling teeth to get them to do their job. i can only do so much but in the end the insurance wants every thing submitted through the doctor doing the surgery.
so just some advise....
- call your insurance and get the policy outline for approval for weight loss surgery and what type is covered.
- get you doctors outline that he is looking for before he'll do the surgery.
- gather all the info. that you can.
- make copies of all the papers, contacts, address, etc. so if something is lost or misplaced you can get the info fast.
- keep a file w/ a paper to record all your contacts. who you talked to, who called you, when it happened, and how it happened, and what was said, etc.
so please keep me in your prayers. i want this for the right reasons, my health, my quality of life, and most of all my children & family....they need me to be there and be healthy.